WT Kidney Care Associates, P.a.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

M0958 Issued in TX

Legal business name

WT KIDNEY CARE ASSOCIATES, P.A.

Practice address

2424 Quaker Ave
Lubbock, TX 79410-1834

Phone

(806) 368-6391

Fax

(806) 368-8361

NPI assigned

Dec 21, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kevin Parsons

Title

Office Manager

Phone

(806) 368-6391

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ruben Dario Villa, M.D.

  • Nephrology Physician
  • Lubbock, TX
  • NPI 1659367647
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1013423458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 QUAKER AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101834",
            "telephone_number": "806-368-6391",
            "fax_number": "806-368-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 QUAKER AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101834",
            "telephone_number": "806-368-6391",
            "fax_number": "806-368-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WT KIDNEY CARE ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "806-368-6391"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M0958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Mabray Wright, M.D.
• Ben Wright, OTR
• Douglas Henry Wright, M.D.
• Kara Wright, FNP
• Tommy Robert Ray Wright, DO
• Wter Quaker, LP
• Ruomei Wu, MD
• Zeshen Wu, M.D.
• Kaitlyn Christine Wyatt, PMHNP
• Ashlynn Elizabeth Wylie

• Nephrology Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.